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Annex 1 to SOP FC/FKPI/041 ver 00

FIELD TACTICAL ACTIVITIES REPORT Name of PMR: District No: Bernard E.dela Virgen Jr GMA For the Period: January 2014 Date Prepared: Dec 18, 2013

FTAR No. _________


Budget Tracking in PhP to be filled out by PMR
Full Year Budget / FC Less: YTD Spending Available for Spending Less: This FTAR Balance Left

This form shall be accomplished twice for each period. The first time is in proposing the tactical activities for a specific month. Cash Advance Liquidation A B C D E F G H I J

3,000.00

(3,000.00)

Date of Implementation

Description of Activity (see attached template)

Product Group

Amount in PhP

Budget

Travel Request/P.R ( Request for Purchase Letter of check Credit to BPI FC 1,2, 3 Request Authority payment A/C of PMR

Plan

Actual

(Over)/Under

Justification for the excess spending

1ST HALF OF THE MONTH'S ACTIVITIES


Jan 13-15, 2014 Ketosteril Product Discussion (KPOD) Renal 3,000 -

TOTAL (TO BE RELEASED NO LATER THAN LAST WORKING DAY OF PRIOR MONTH)

3,000.00

2ND HALF OF THE MONTH'S ACTIVITIES -

TOTAL (TO BE RELEASED NO LATER THAN LAST WORKING DAY OF PRIOR MONTH)

Grand Total For the Month


DATE OF LIQUIDATION: 1ST HALF OF THE MONTH - EVERY 20TH DAY OF THE MONTH

3,000.00

2ND HALF OF THE MONTH - EVERY 5TH DAY OF THE FOLLOWING MONTH

I agree to liquidate this cash advance every 20th day of the month for the first half of the month's activities and every 5th day of the following month for the 2nd half of the month's activities as specified above either with adequate receipts and cash or cheque for the balance made payable to Fresenius Kabi Philippines, Inc. I understand that my failure to liquidate the above cash advance in full within thirty(30) days will result in a payroll deduction for the balance due. By signing below, I agree to make Fresenius Kabi Philippines Inc. to make any such deductions from my pay.

EMPLOYEE SIGNATURE: DATE:

_____BERNARD E.DELA VIRGEN JR_______ 18-Dec

Endorsed by: (DM/RSM)

Approved by: (BUH/NSM)

Annex 2 to SOP FC/FKPI/041 ver 00

PER DISTRICT CONSOLIDATED PROMO SELLING ACTIVITIES FUNDING REQUEST

FTAR No. _________


Name of District Manager: District No: No. of Med Reps: Cash Advance Liquidation
A B C D E F G H I J K

For the Period: Date Prepared:

Budget Tracking in PhP to be filled-out by DM


Full Year Budget / FC Less: YTD Spending Available for Spending Less: This FTAR Balance Left L M N

ACTIVITIES FOR IMPLEMENTATION DURING THE FIRST HALF OF THE MONTH Description of Activity (see attached template) Product Group Amount in PhP

Included in

Name of PMR

Date of Implementation

Budget

FC 1,2, 3

Disposition (Amount in PhP) Request for Credit to Travel Letter of Check BPI A/C of Request Authority Payment PMR

Difference Justification for the excess spending

Plan

Actual

(Over)/Under

1ST HALF OF THE MONTH'S ACTIVITIES


-

TOTAL (TO BE RELEASED NO LATER THAN LAST WORKING DAY OF PRIOR MONTH)

2ND HALF OF THE MONTH'S ACTIVITIES


-

TOTAL (TO BE RELEASED NO LATER THAN 15TH DAY OF THE MONTH) TOTAL DISTRICT Signature over Printed Name of Requestor Approved by:

Validated by:

DM/RSM

BUH/NSM

FINANCE

GENERAL MANAGER

FRESENIUS KABI PHILIPPINES, INC. SUPPORT TO FTAR FUND REQUEST FOR : January

Annex 3 to SOP FC/FKPI/041 ver 00

CASH ADVANCE
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs MD Class FK Participant Product Group Amount Name of Activity Activity Date Sponsored Organization

LIQUIDATION
Name of Participating MDs MD Class FK Participant Product Group Amount

FOR RETURN/(REIMBURSEMENT)

Feedback Comments

Amount

Bernard E.dela Virgen Jr

Ketosteril Product Discussion (KPOD)

Jan 13-15, 2014

Dr.Dionisio Cabawatan (Diab A1); Dr. Stefanie LimUy (Endo B1); Dr.Lemuel DELOS SANTOS; Tocjayao (Diab A1); A(4X) B(2x) Bernard E.Dela Virgen Jr PKDF;NEPHROC Dr.Brandon Navidad ARE (Nephro A1); Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)

Renal

3,000.00

Ketosteril Product Jan 15,2014 Discussion (KPOD)

Dr. Stefanie Lim Uy DELOS (Endo SANTOS;NEPHRO B1);Dr.Brandon CARE Navidad (Nephro A1)

A(4X) B(2x) Bernard E.Dela Virgen Jr

Renal

1,065.00

Ketosteril Product Jan 20,2014 Discussion (KPOD)

DELOS SANTOS

Ketosteril Product Jan 21,2014 Discussion (KPOD)

DELOS SANTOS; PKDF

Dr.Dionisio Cabawatan (Diab A1);Dr.Lemuel Tocjayao (Diab A1) Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)

A(4X)

Bernard E.Dela Virgen Jr

Renal 1,050.00

A(4X)

Bernard E.Dela Virgen Jr

Renal

890.00

TOTAL CASH ADVANCE

3,000.00

3,005.00

FOR TRAVEL REQUEST, LETTER OF AUTHORITY (LOA) & FOR CHECK PAYMENT
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs FK Participant Product Group Amount

TOTAL - TR/LOA/RCP

0.00

TOTAL FTAR FUND REQUEST

3,000.00

PREPARED BY:

APPROVED BY:

PMR

DM

Bernard E.dela Virgen Jr

Annex 5 to SOP FC/FKPI/041 ver 00

Activity

PMR/ All Requestors

DM/RSM

NSM

FINANCE

OGM c/o Angel

FUNDING/CHECK RELEASE DUE DATE

FTAR FUND APPLICATION & RELEASE

10th of the month prior to implementation

15th of the month prior to implementation

18th of the month prior to implementation

20th of the month prior to implementation

Last working day of the previous month except for 1st half of January wherein crediting will be done on the 1st 22nd of the month prior working day the month to implementation Every 15th of the month or prior working day in case 15th falls on a weekend or holiday

FTAR 1st half of the month liquidation

25th of the month

28th of the month

30th of the month

FTAR 2nd half of the month liquidation

10th of the following month

13th of the following month

15th of the following month

MER Funding & Liquidation

4th of the following month for outside Metro Manila areas 7th of the following month for outside Metro Manila areas

7th of the following month for outside Metro Manila areas 10th of the following month for outside Metro Manila areas Every Wednesday

1st working day of the month

RFCP - 3rd Party Vendors CA and Employee Reimbursements Employee Liquidation (except FTAR and MER) LOA to submit requests to Angel 5 working days prior to activity date

9 working days from receipt of duly approved request & supporting documents 7 working days from receipt of duly approved request & supporting documents

Every Wednesday Every Monday & Wednesday 2 working days before activity date

Annex 6 to SOP FC/FKPI/041 ver 00

REQUEST FOR CHECK PAYMENT FORM

R.C.P. No.

PAYEE'S NAME:

DATE: AMOUNT:

DATE OF ACTIVITY PURPOSE:

This is to certify that the above request is true and correct. Any charges related to the cancellation of check without valid reason shall be for the account of the requesting party

Requested by:

Approved by:

REQUIRED ATTACHMENTS ACTIVITY POA ARBE LOR RL AL QUOT INV DR TRIP T PROG CONTR LOA TO AS/P BOE/A/MM OR/AR * Finance's cut-off of receiving RCP/RCA/REIM is every 5pm of Wednesday REMARKS

MARKETING/SELLING * Sponsorships * Payments to: - promats suppliers - booth rental - van rental - hotels/resto - caterers - travel agencies - other service providers * Financial Support * Honorarium / PMS ADMIN * Other providers of Goods * Other rentals * Other providers of Services LEGENDS AND NOTES: POA ARBE LOR RL AL QUOT INV DR TRIP T PROG CONTR LOA TO Plan of Activities Approved RBE Letter of Request Recommendation Letter Acceptance Letter Quotations Sales Invoice or Statement of Account Delivery Receipt Trip Ticket Symposium or Convention Program or Invitation Contract signed by contracting parties Letter of Authority Travel Order AS EA BOE/A/MM OR AR Attendance Sheet Expected Attendees

* cheques for approved RCP/RCA/REIM with complete and valid docs will be released at immediately succeeding Tuesday *PMRs &/or AMs handling cheque payments to suppliers and/or MDs/Hospitals should secure corresponding ORs/ARs and submit to Finance

Breakdown of expenses/ Agenda/ Minutes of Meeting Official Receipt Acknowledgement Receipt; name and signature of recipient should be clear Required for processing Required to be returned to Finance after payment

ISSUE LOG FORM

OR THE MONTH OF : :

RODUCT GROUP

STRICT MANAGER :

NANCE PARTNER :

Nature of Issue

Required Action

When Needed

Status from Finance

Remarks

Accomplished by:

Conforme:

DM/PMR

Finance Partner

FRESENIUS KABI PHILIPPINES, INC. SUPPORT TO FTAR FUND REQUEST FOR : January

Annex 3 to SOP FC/FKPI/041 ver 00

CASH ADVANCE
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs MD Class FK Participant Product Group Amount Name of Activity Activity Date Sponsored Organization

LIQUIDATION
Name of Participating MDs MD Class FK Participant Product Group Amount

FOR RETURN/(REIMBURSEMENT)

Feedback Comments

Amount

Bernard E.dela Virgen Jr

Ketosteril Product Discussion (KPOD)

Jan 13-15, 2014

Dr.Dionisio Cabawatan (Diab A1); Dr. Stefanie LimUy (Endo B1); Dr.Lemuel DELOS SANTOS; Tocjayao (Diab A1); A(4X) B(2x) Bernard E.Dela Virgen Jr PKDF;NEPHROC Dr.Brandon Navidad ARE (Nephro A1); Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)

Renal

3,000.00

Ketosteril Product Jan 20,2014 Discussion (KPOD)

DELOS SANTOS

Dr.Dionisio Cabawatan (Diab A1);Dr.Lemuel Tocjayao (Diab A1)

A(4X)

Bernard E.Dela Virgen Jr

Renal

1,050.00

TOTAL CASH ADVANCE

3,000.00

1,050.00

FOR TRAVEL REQUEST, LETTER OF AUTHORITY (LOA) & FOR CHECK PAYMENT
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs FK Participant Product Group Amount

TOTAL - TR/LOA/RCP

0.00

TOTAL FTAR FUND REQUEST

3,000.00

PREPARED BY:

APPROVED BY:

PMR

DM

Bernard E.dela Virgen Jr

FRESENIUS KABI PHILIPPINES, INC. SUPPORT TO FTAR FUND REQUEST FOR : January

Annex 3 to SOP FC/FKPI/041 ver 00

CASH ADVANCE
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs MD Class FK Participant Product Group Amount Name of Activity Activity Date Sponsored Organization

LIQUIDATION
Name of Participating MDs MD Class FK Participant Product Group Amount

FOR RETURN/(REIMBURSEMENT)

Feedback Comments

Amount

Bernard E.dela Virgen Jr

Ketosteril Product Discussion (KPOD)

Jan 13-15, 2014

Dr.Dionisio Cabawatan (Diab A1); Dr. Stefanie LimUy (Endo B1); Dr.Lemuel DELOS SANTOS; Tocjayao (Diab A1); A(4X) B(2x) Bernard E.Dela Virgen Jr PKDF;NEPHROC Dr.Brandon Navidad ARE (Nephro A1); Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)

Renal

3,000.00

Ketosteril Product Jan 21,2014 Discussion (KPOD)

Dr.Mildred Tayag DELOS SANTOS; (Nephro A1); Dr.Marie PKDF Jewell Santos(Nephro A1)

A(4X)

Bernard E.Dela Virgen Jr

Renal

890.00

TOTAL CASH ADVANCE

3,000.00

890.00

FOR TRAVEL REQUEST, LETTER OF AUTHORITY (LOA) & FOR CHECK PAYMENT
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs FK Participant Product Group Amount

TOTAL - TR/LOA/RCP

0.00

TOTAL FTAR FUND REQUEST

3,000.00

PREPARED BY:

APPROVED BY:

PMR

DM

Bernard E.dela Virgen Jr

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